Susan Therese Fedewa

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NPI Number Detailed Information

Provider Information:

Name:	Susan Therese Fedewa
Gender:	F
Provider License Number If Given:	5101010021

NPI Information:

NPI:	1750336004
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	5/24/2006
Last Update Date:	11/23/2007
Reputation Report:

Provider Business Mailing Address:

Address:	DEPARTMENT 272801 PO BOX 67000 Detroit, MI 48267
Phone Number:	5178416913
Fax Number:	5178416917

Provider Business Practice Location Address:

Address:	205 N EAST AVE Jackson, MI 49201
Phone Number:	5177884800
Fax Number:	5177966410

Provider Taxonomy:

Primary:	207P00000X
Secondary (if any):
State:	MI

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About Susan Therese Fedewa

Susan Therese Fedewa ( SUSAN THERESE FEDEWA ) is An Emergency Medicine Physician in Jackson, MI. The NPI Number for Susan Therese Fedewa is 1750336004.

The current location address for Susan Therese Fedewa is 205 N EAST AVE Jackson, MI 49201 and the contact number is 5178416913 and fax number is 5178416917. The mailing address for Susan Therese Fedewa is DEPARTMENT 272801 PO BOX 67000 Detroit, MI 48267- 5177884800 (mailing address contact number - 5178416913).

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Provider Business Location on Map

FAQs:

What is the NPI Number for Susan Therese Fedewa ?

Answer: The NPI Number for Susan Therese Fedewa is 1750336004

Where is Susan Therese Fedewa located?

Answer: Susan Therese Fedewa is located at 205 N EAST AVE Jackson, MI 49201.

What is the specialty for Susan Therese Fedewa ?

Answer: The Specialty of Susan Therese Fedewa is An Emergency Medicine Physician.

Are there any online reviews for Susan Therese Fedewa ?

Answer: Yes! Check It Now.

Are there any other health care providers in Jackson, MI?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Susan Therese Fedewa

Number of HCPCS	82
Number of Medicare Beneficiaries	818
Number of Services	2589
Total Submitted Charge Amount	445320.53
Total Medicare Allowed Amount	250657.83
Total Medicare Payment Amount	238735.31
Total Medicare Standardized Payment Amount	250249.39
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	18
Number of Medicare Beneficiaries With Drug Services	58
Number of Drug Services	158
Total Drug Submitted Charge Amount	2195.4
Total Drug Medicare Allowed Amount	518.65
Total Drug Medicare Payment Amount	425.4
Total Drug Medicare Standardized Payment Amount	427.72
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	64
Number of Medicare Beneficiaries With Medical	818
Number of Medical Services	2431
Total Medical Submitted Charge Amount	443125.13
Total Medical Medicare Allowed Amount	250139.18
Total Medical Medicare Payment Amount	238309.91
Total Medical Medicare Standardized Payment Amount	249821.67
Average Age of Beneficiaries	72
Number of Beneficiaries Age Less 65	94
Number of Beneficiaries Age 65 to 74	428
Number of Beneficiaries Age 75 to 84	195
Number of Beneficiaries Age Greater 84	101
Number of Female Beneficiaries	498
Number of Male Beneficiaries	320
Number of Non-Hispanic White Beneficiaries	716
Number of Black or African American Beneficiaries	42
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries	33
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	94
Number of Beneficiaries With Medicare Only Entitlement	724
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.07
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.07
Percent (%) of Beneficiaries Identified With Asthma	0.07
Percent (%) of Beneficiaries Identified With Cancer	0.08
Percent (%) of Beneficiaries Identified With Heart Failure	0.11
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.21
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.08
Percent (%) of Beneficiaries Identified With Depression	0.19
Percent (%) of Beneficiaries Identified With Diabetes	0.21
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.37
Percent (%) of Beneficiaries Identified With Hypertension	0.47
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.2
Percent (%) of Beneficiaries Identified With Osteoporosis	0.07
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.37
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0.01
Percent (%) of Beneficiaries Identified With Stroke	0.03
Average HCC Risk Score of Beneficiaries	1.0673

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Emergency Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	674
Number of Standardized 30-Day Fills	688.66666667
Aggregate Cost Paid for All Claims	7872.38
Number of Day's Supply for All Claims	7379
Number of Medicare Beneficiaries	414
Number of Claims, Including Refills, for Beneficiaries Age 65+	580
Including Refills, for Beneficiaries Age 65+	594.66666667
Beneficiaries Age 65+	6482.28
Number of Day's Supply for All Claims for Beneficaries Age 65+	6270
Number of Medicare Beneficiaries Age 65+	370
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst	#
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	653
Aggregate Cost Paid for Generic Drugs	6958.69
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst	*
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	266
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	2526.49
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	408
Aggregate Cost Paid for Claims Filled by	5345.89
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	85
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	1497.93
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	589
by Low-Income Subsidy	6374.45
Total Claims of Opioid Drugs, Including	14
Aggregate Cost Paid for Opioid Drugs	47.2
Opioid Claims	14
Opioid_Tot_Clms divided by the Tot_Clms	2.0771513353
Total Claims of Long-Acting Opioid Drugs	0
Aggregate Cost Paid for Long-Acting Opioid	0
Number of Day's Supply of All Long-Acting	0
Long-Acting Opioid Claims	0
Opioid_LA_Tot_Clms divided by the	0
Total Claims of Antibiotic Drugs, Including	343
Aggregate Cost Paid for Antibiotic Drugs	3965.82
Antibiotic Claims	290
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims	0
Average Age of Beneficiaries	72.666666667
Number of Beneficiaries Age Less Than 65	44
Number of Beneficiaries Age 65 to 74	212
Number of Beneficiaries Age 75 to 84	112
Number of Female Beneficiaries	273
Number of Male Beneficiaries	141
Number of Non-Hispanic White	354
Number of Black or African American	21
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries	23
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement	373
Average Hierarchical Condition Category	1.1155828998

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